Maryhaven Center of Hope Inc.

NPI #1013051341 in Holtsville, New York

Provider Information

NPI Number
1013051341
Entity Type
Organization
Organization Name
Maryhaven Center of Hope Inc.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Feb 19, 2007
Last Updated
Apr 30, 2015

Practice Location

Address
298 LONG ISLAND AVENUE
ZIP Code
11742
Phone
(631) 758-8479

Authorized Official

Name
LAURA PEPPER
Title
DIRECTOR OF FINANCE
Phone
(531) 474-4120

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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